dc.contributor.author | Helenius Ilkka | |
dc.contributor.author | Helenius Linda | |
dc.contributor.author | Diarbakerli Elias | |
dc.contributor.author | Gerdhem Paul | |
dc.contributor.author | Saarinen Antti J | |
dc.contributor.author | Suominen Eetu N | |
dc.contributor.author | Syvänen Johanna | |
dc.date.accessioned | 2022-10-28T12:36:32Z | |
dc.date.available | 2022-10-28T12:36:32Z | |
dc.identifier.uri | https://www.utupub.fi/handle/10024/160747 | |
dc.description.abstract | <p><strong>Purpose: </strong>To assess the health-related quality of life and radiographic outcomes of surgically treated adolescent Scheuermann's kyphosis patients after minimum of 2-year follow-up and to compare the health-related quality of life with age- and sex-matched healthy controls.</p><p><strong>Methods: </strong>Twenty-two consecutive adolescents (mean age = 16.7 years) undergoing posterior spinal fusion for Scheuermann's kyphosis were included and matched by age and sex with two healthy controls. The health-related quality of life was evaluated using the Scoliosis Research Society-24 questionnaire. Radiographic parameters were measured for comparison preoperatively and at 6 months and 2-year follow-ups. The health-related quality of life parameters were compared with healthy controls at 2 years of follow-up.</p><p><strong>Results: </strong>The mean maximal thoracic kyphosis improved from 79° (range = 75°-90°) to 55° (range = 45°-75°) (<em>p</em> < 0.001), and the mean lumbar lordosis was reduced from 71° (range = 51°-107°) to 52° (range = 34°-68°) (<em>p</em> < 0.001) after 2 years postoperatively. Incidence of proximal junctional kyphosis (PJK) was 18%. The scores of the Scoliosis Research Society-24 improved, with statistical significance observed in pain and self-image domains from preoperative to 2-year follow-up (<em>p</em> = 0.002 in both domains). The self-image and function were significantly lower in the operated patients at their 2-year follow-up visit compared to controls (<em>p</em> = 0.023 for self-image and <em>p</em> < 0.001 for function).</p><p><strong>Conclusion: </strong>Instrumented posterior spinal fusion improves the health-related quality of life of Scheuermann's kyphosis patients during the 2-year follow-up. The greatest improvement is observed in pain and self-image domains. The health-related quality of life in pain and activity domains reaches the level of healthy individuals, while function and self-image remain at a statistically lower level.</p> | |
dc.language.iso | en | |
dc.publisher | SAGE PUBLICATIONS INC | |
dc.title | Health-related quality of life outcomes in adolescent Scheuermann's kyphosis patients treated with posterior spinal fusion: A comparison with age- and sex-matched controls | |
dc.identifier.url | https://doi.org/10.1177/18632521221106384 | |
dc.identifier.urn | URN:NBN:fi-fe2022091559188 | |
dc.relation.volume | 16 | |
dc.contributor.organization | fi=kliinisen laitoksen yhteiset|en=Department of Clinical Medicine| | |
dc.contributor.organization | fi=kirurgia|en=Surgery| | |
dc.contributor.organization | fi=työterveyshuolto|en=Occupational Health| | |
dc.contributor.organization | fi=tyks, vsshp|en=tyks, vsshp| | |
dc.contributor.organization | fi=anestesiologia ja tehohoito|en=Anaesthesiology, Intensive Care, Emergency Care and Pain Medicine| | |
dc.contributor.organization | fi=ortopedia ja traumatologia|en=Orthopaedics and Traumatology| | |
dc.contributor.organization-code | 2607301 | |
dc.contributor.organization-code | 2607309 | |
dc.contributor.organization-code | 2607310 | |
dc.contributor.organization-code | 2607327 | |
dc.contributor.organization-code | 2607300 | |
dc.converis.publication-id | 176302548 | |
dc.converis.url | https://research.utu.fi/converis/portal/Publication/176302548 | |
dc.format.pagerange | 296 | |
dc.format.pagerange | 290 | |
dc.identifier.jour-issn | 1863-2521 | |
dc.okm.affiliatedauthor | Dataimport, tyks, vsshp | |
dc.okm.affiliatedauthor | Helenius, Linda | |
dc.okm.affiliatedauthor | Saarinen, Antti | |
dc.okm.affiliatedauthor | Suominen, Eetu | |
dc.okm.affiliatedauthor | Syvänen, Johanna | |
dc.okm.discipline | 3126 Kirurgia, anestesiologia, tehohoito, radiologia | fi_FI |
dc.okm.discipline | 3123 Naisten- ja lastentaudit | fi_FI |
dc.okm.discipline | 3123 Gynaecology and paediatrics | en_GB |
dc.okm.discipline | 3126 Surgery, anesthesiology, intensive care, radiology | en_GB |
dc.okm.internationalcopublication | international co-publication | |
dc.okm.internationality | International publication | |
dc.okm.type | Journal article | |
dc.publisher.country | United Kingdom | en_GB |
dc.publisher.country | Britannia | fi_FI |
dc.publisher.country-code | GB | |
dc.relation.doi | 10.1177/18632521221106384 | |
dc.relation.ispartofjournal | Journal of Children's Orthopaedics | |
dc.relation.issue | 4 | |
dc.year.issued | 2022 | |